NPI | 1992169429 |
---|---|
Former Name | AMY SUZANNE HALDEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD480796) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD480796) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2024-08-01 |